HEALTH FIRST INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH FIRST INC (EIN 59-3528774)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-13
- IRS object ID
- 201512259349300816
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-13T07:36:08-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593528774 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health First Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 3214345150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 Fiske Blvd | AddressLine1 |
| City | Rockledge | City |
| State | FL | State |
| ZIP Code | 32955 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph G Felkner | PersonNm |
| Person Title | Exec VP/CFO | PersonTitleTxt |
| Phone | 3214345150 | PhoneNum |
| Signature | 2015-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Wayne Harder | PreparerPersonNm |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN P JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 Fiske Blvd | AddressLine1 |
| City | Rockledge | City |
| State | FL | State |
| ZIP Code | 32955 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,408,193 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTH-FIRST.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | The Health First Foundation helps improve the health and well-being of residents in our community by raising funds to support and advance the mission of Health First and its family of charitable healthcare providers.These include four not-for-profit hospitals - Cape Canaveral Hospital, Holmes Regional Medical Center, Palm Bay Hospital, and Viera Hospital - as well as Hospice of Health First, the Health First Aging Institute, and other not-for-profit affiliates. Generous donations help advance patient care, provide lifesaving programs and services, upgrade equipment and technologies and extend health care to anyone in need regardless of their ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 113 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,143,340 | PYContributionsGrantsAmt |
| CY Contributions Grants | $718,004 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $130 | PYInvestmentIncomeAmt |
| CY Investment Income | $73,529 | CYInvestmentIncomeAmt |
| PY Other Revenue | $493,816 | PYOtherRevenueAmt |
| CY Other Revenue | $413,346 | CYOtherRevenueAmt |
| PY Total Revenue | $2,637,286 | PYTotalRevenueAmt |
| CY Total Revenue | $1,204,879 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,772,610 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,083,190 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $723,632 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $967,691 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $616,405 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $291,272 | PYOtherExpensesAmt |
| CY Other Expenses | $338,885 | CYOtherExpensesAmt |
| PY Total Expenses | $2,787,514 | PYTotalExpensesAmt |
| CY Total Expenses | $2,389,766 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$150,228 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,184,887 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,511,553 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,877,183 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,842,094 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,065,485 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,669,459 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,811,698 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our team positively changing the health and well-being of you andyour family through excellent and compassionate health care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,083,190 | ExpenseAmt |
| Grant | $1,083,190 | GrantAmt |
| Desc | In fiscal year 2014, more than 3,500 individuals, foundations, corporations, and other organizations supported the Health First Foundation. These contributions helped strengthen and expand healthcare outreach and critical services for our community. Gifts were used to improve and renovate hospital facilities, purchase life-saving medical equipment and technologies, provide patient wellness information, fund scholarships for healthcare education, offer caregiver resources and support, provide grief counseling for children and families who have lost a loved one, as well as provide assistance for indigent patients. | Desc |
| Total Program Service Expenses | $1,083,190 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Arthur Craig Springer II | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3214345584 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 Fiske Blvd | AddressLine1 |
| City | Rockledge | City |
| State | FL | State |
| ZIP Code | 32955 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Nancy Taylor | |||||||||
| Chairman | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Rick Theisen | |||||||||
| Vice Chairman (out-going) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dale A Dettmer Esq | |||||||||
| Vice Chairman (in-coming) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Patricia D Pruitt | |||||||||
| Secretary | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Paula G Molnar | |||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Wendy S Brandon | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Gobtvenkata Balaji | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Scott M Baughan Esq | |||||||||
| Director (out-going) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard C Beagley | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Melissa Flammio Clark | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Carl D Coddington Jr | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Linda G Coleman | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Rochelle Cooper | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Dow | |||||||||
| Director (out-going) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Evelyn E Foster | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Coleman Goatley | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Myra Igo Haley | |||||||||
| Director (out-going) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Barry F Richardson | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Charles F Scanlon | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kevin B Steele | |||||||||
| Director | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Dana | |||||||||
| Director (out-going) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Bobbie Dyer | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| William Troner | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Terry W Mohr | |||||||||
| HFF President (in-coming) | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Christine Lance | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Holly Wesche | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephanie Brown | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Larry S Bishop MD | |||||||||
| Director (Physician) | 1.00 | 40.00 | Yes (X) | $0 | $1,125,233 | $15,657 | |||
| Nanialei Golden | |||||||||
| Director (Physician) | 1.00 | 40.00 | Yes (X) | $0 | $615,025 | $5,460 | |||
| Steven P Johnson | |||||||||
| President/CEO HF | 1.00 | 44.00 | Yes (X) | Yes (X) | $0 | $1,625,823 | $21,847 | ||
| Mindy F Thompson | |||||||||
| Phys Office Svsr Clinic RN (out-going) | 1.00 | 40.00 | Yes (X) | $0 | $37,112 | $2,142 | |||
| Jeanene Elizabeth Donilon | |||||||||
| Director Individual Giving | 40.00 | 0.00 | $0 | $120,859 | $18,685 | Yes (X) | |||
| Jane McCallum | |||||||||
| Director Corp Annual Giving | 40.00 | 0.00 | $0 | $125,528 | $14,258 | Yes (X) | |||
| Michael D Means | |||||||||
| President CEO HF | 0.00 | 0.00 | $0 | $232,115 | $0 | Yes (X) | |||
| Larry F Garrison | |||||||||
| EVP/COO | 0.00 | 0.00 | $0 | $155,018 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,036,713 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $78,049 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health First Inc | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 Fiske Blvd | AddressLine1 |
| City | Rockledge | City |
| State | FL | State |
| ZIP Code | 329554305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Management Support | ServicesDesc |
| Compensation | $1,233,897 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $266,946 | FundraisingAmt |
| Related Organizations | $88,312 | RelatedOrganizationsAmt |
| All Other Contributions | $362,746 | AllOtherContributionsAmt |
| Noncash Contributions | $88,940 | NoncashContributionsAmt |
| Total Contributions | $718,004 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,529 | TotalRevenueColumnAmt |
| Exclusion | $73,529 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $615,245 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $266,946 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $203,314 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $411,931 | TotalRevenueColumnAmt |
| Exclusion | $411,931 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,415 | TotalRevenueColumnAmt |
| Exclusion | $1,415 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,415 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,204,879 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $486,875 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,052,190 | TotalAmt |
| Program Services | $1,052,190 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,000 | TotalAmt |
| Program Services | $31,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,763 | TotalAmt |
| Management And General | $477,763 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,614 | TotalAmt |
| Management And General | $102,140 | ManagementAndGeneralAmt |
| Fundraising | $135,474 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,467 | TotalAmt |
| Fundraising | $6,467 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,660 | TotalAmt |
| Management And General | $24,094 | ManagementAndGeneralAmt |
| Fundraising | $170,566 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,187 | TotalAmt |
| Management And General | $6,149 | ManagementAndGeneralAmt |
| Fundraising | $45,038 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,357 | TotalAmt |
| Management And General | $6,357 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,408 | TotalAmt |
| Management And General | $1,408 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,829 | TotalAmt |
| Management And General | $30,125 | ManagementAndGeneralAmt |
| Fundraising | $19,704 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,168 | TotalAmt |
| Management And General | $3,354 | ManagementAndGeneralAmt |
| Fundraising | $12,814 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,879 | TotalAmt |
| Management And General | $4,124 | ManagementAndGeneralAmt |
| Fundraising | $23,755 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,552 | TotalAmt |
| Management And General | $10,068 | ManagementAndGeneralAmt |
| Fundraising | $72,484 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,262 | TotalAmt |
| Management And General | $5,071 | ManagementAndGeneralAmt |
| Fundraising | $72,191 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,767 | TotalAmt |
| Management And General | $161 | ManagementAndGeneralAmt |
| Fundraising | $3,606 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,561 | TotalAmt |
| Management And General | $207 | ManagementAndGeneralAmt |
| Fundraising | $4,354 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,399 | TotalAmt |
| Fundraising | $4,399 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,801 | TotalAmt |
| Management And General | $11,801 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| Catering | $42,624 | $189 | $42,435 |
| Maintenance & Repair | $3,952 | $1,184 | $2,768 |
| Licenses & Taxes | $504 | $154 | $350 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,822 | TotalAmt |
| Management And General | $5,822 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,389,766 | TotalAmt |
| Program Services | $1,083,190 | ProgramServicesAmt |
| Management And General | $690,171 | ManagementAndGeneralAmt |
| Fundraising | $616,405 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $584,120 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $517,003 | BOYAmt |
| EOY | $307,446 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $560,722 | BOYAmt |
| EOY | $485,839 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,500 | BOYAmt |
| EOY | $28,528 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $82,368 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $76,822 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,945 | BOYAmt |
| EOY | $5,546 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,822,263 | BOYAmt |
| EOY | $3,049,824 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,511,553 | BOYAmt |
| EOY | $3,877,183 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,242 | BOYAmt |
| EOY | $179,007 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,946 | BOYAmt |
| EOY | $54,757 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,664,906 | BOYAmt |
| EOY | $831,721 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,842,094 | BOYAmt |
| EOY | $1,065,485 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,037,665 | BOYAmt |
| EOY | $639,007 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,631,794 | BOYAmt |
| EOY | $2,172,691 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,669,459 | BOYAmt |
| EOY | $2,811,698 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,511,553 | BOYAmt |
| EOY | $3,877,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,184,887 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,327,126 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,438,265 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $988,381 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $889,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,537,360 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $718,004 | CurrentTaxYearAmt |
| Total | $5,571,471 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,438,265 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $988,381 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $889,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,537,360 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $718,004 | CurrentTaxYearAmt |
| Total | $5,571,471 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $524,408 | SubstantialContributorsTotAmt |
| Public Support Total170 | $5,047,063 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $225 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,529 | CurrentTaxYearAmt |
| Total | $73,884 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $48 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,332 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $972 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,188 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,415 | CurrentTaxYearAmt |
| Total | $4,955 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,650,310 | TotalSupportAmt |
| Public Support CY170 | 0.89320 | PublicSupportCY170Pct |
| Public Support PY170 | 0.85160 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $517,002 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $73,529 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $590,531 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $403,279 | BeginningYearBalanceAmt |
| Contributions | $113,094 | ContributionsAmt |
| Investment Earnings Or Losses | $654 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $25 | AdministrativeExpensesAmt |
| End Year Balance | $517,002 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $97,657 | BeginningYearBalanceAmt |
| Contributions | $304,945 | ContributionsAmt |
| Investment Earnings Or Losses | $772 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $95 | AdministrativeExpensesAmt |
| End Year Balance | $403,279 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $97,610 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $333 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $286 | AdministrativeExpensesAmt |
| End Year Balance | $97,657 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $47,504 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $11 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$95 | AdministrativeExpensesAmt |
| End Year Balance | $97,610 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,679 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,679 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $77,689 | OtherCostOrOtherBasisAmt |
| Depreciation | $72,143 | DepreciationAmt |
| Book Value | $5,546 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,546 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets limited as to use | $2,172,691 |
| Other current assets | $877,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,049,824 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Noncurrent Liabilities | $435,630 |
| Due to affiliate | $358,192 |
| Annuity payable | $37,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $831,721 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | This endowment is used to provide assistance to disadvantaged patients and their families in need of medications, medical supplies, durable medical equipment and other incidentals related to indigent patient care. |
| Part X, Line 2: | FASB ASC 740 footnote: The Company is exempt from federal and state income taxes under section 501(a), as an organization described in Section 501(c)(3), of the Internal Revenue Code and Section 220.13 of the Florida statutes, respectively. Accordingly, no provision for income taxes is made in the financial statements. ASC Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC Topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Benefit Ball | NameOfEvent1Amt |
| Gross Receipts Event1 | $481,363 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $73,250 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $408,113 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $144,909 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Grape Escape | NameOfEvent2Amt |
| Gross Receipts Event2 | $183,719 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $92,282 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $91,437 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $37,900 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $217,109 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $101,414 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $115,695 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $20,505 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $882,191 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $266,946 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $615,245 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $203,314 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $203,314 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $411,931 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Holmes Regional Medical Center Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 590624371 | 501(c)(3) | $551,050 | Fund Operations |
| Cape Canaveral Hospital Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 592477479 | 501(c)(3) | $297,903 | Fund Operations |
| Hospice of Health First Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 591911574 | 501(c)(3) | $147,036 | Fund Operations |
| Health First Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 593336894 | 501(c)(3) | $34,201 | Fund Operations |
| Viera Hospital Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 264019868 | 501(c)(3) | $22,000 | Fund Operations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Scholarships | GrantTypeTxt |
| Recipient | 31 | RecipientCnt |
| Cash Grant | $31,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Health First Foundation board monitors usage by each entity to assure funds raised are used appropriately. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Larry S Bishop MD | ||||||||||||||
| Director (Physician) | $0 | $1,121,085 | $0 | $0 | $0 | $4,148 | $0 | $0 | $0 | $15,657 | $0 | $1,140,890 | $0 | $0 |
| Nanialei Golden | ||||||||||||||
| Director (Physician) | $0 | $613,578 | $0 | $0 | $0 | $1,447 | $0 | $0 | $0 | $5,460 | $0 | $620,485 | $0 | $0 |
| Steven P Johnson | ||||||||||||||
| President/CEO HF | $0 | $1,204,481 | $0 | $0 | $0 | $421,342 | $0 | $7,800 | $0 | $14,047 | $0 | $1,647,670 | $0 | $0 |
| Michael D Means | ||||||||||||||
| President CEO HF | $0 | $28,490 | $0 | $0 | $0 | $203,625 | $0 | $0 | $0 | $0 | $0 | $232,115 | $0 | $0 |
| Larry F Garrison | ||||||||||||||
| EVP/COO | $0 | $19,480 | $0 | $0 | $0 | $135,538 | $0 | $0 | $0 | $0 | $0 | $155,018 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part II Column F | FormAndLineReferenceDesc |
| Explanation | Compensation is paid by Health First, Inc. Ein: 59-3336894 and reimbursed by Health First Foundation, Inc. salary and benefit expenses disclosed in Part IX is allocated to this entity. Amounts reported in column F represent deferred compensation previously reported on prior years' Form 990. Form 990, schedule J, Part I, Question 3: The filing organization relied on Health First, Inc. its sole member for establishing the top management official's compensation. See core 990 Part VI Section B Line 15 for further information regarding the process utilized. | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | SilentAuction | Desc |
| Contribution | 126 | ContributionCnt |
| Noncash Contributions Rpt F990 | $88,940 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Auction Sale | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | Column (b) indicates the number of contributions received. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole member of Health First Foundation, Inc. is Health First, Inc., a Florida not-for-profit corporation that serves as the corporate parent of the health system. |
| Form 990, Part VI, Section A, line 7a | Health First, Inc. (HFI), a 501(c)(3) exempt organization and the parent of the exempt healthcare system, is the sole corporate member of the filing organization. |
| Form 990, Part VI, Section A, line 7b | Per the bylaws and the laws of the state of Florida, the administrative power of the corporation shall be vested in the Board of Trustees which shall have charge, control and management of property, affairs and funds of the corporation. The Board of Trustees shall not take any action with respect to the following without approval of the member. -Change in the mission, purpose or scope of the corporation and its operation; -Incurrence of debt or guarantee the debt of another; -Approval of the sale, lease, purchase, conveyance or other disposition of any real or personal property having a total capitalized cost in excess of $1,000,000; -Approval of the sale, lease, purchase, conveyance or other disposition of all or substantially all of the assets of the organization; -Approval of annual operating and capital expenditure budgets and any material deviations therefrom; -Appointment or engagement of auditors, legal counsel or consultants; -Creation, acquisition, sale, purchase, dissolution or other disposition of any affiliated or controlled entity or joint venture or any interest in such entity; -Relocation, implementation or discontinuation of a major program service; -The repeal, amendment, or restatement of articles of incorporation and bylaws of the corporation; and -Capital expenditures and capital leases exceeding $1,000,000 in total. |
| Form 990, Part VI, Section B, line 11 | After review and approval by the Chief Financial Officer the Form 990 is sent to each member of the Board of Trustees electronically for their review and approval prior to filing. |
| Form 990, Part VI, Section B, line 12c | A copy of the Conflict of Interest policy is provided to all associates, including management, in which they review and electronically attest that they have agreed to the terms noted in the policy on an annual basis. In addition, Senior Leadership and BOD members on an annual basis are required to complete a Conflict of Interest questionnaire prepared and monitored by the Chief Compliance Officer. The questionnaire requires an attestation stating that the individual is free of conflicts should they not report anything of concern. These forms are tracked and kept on file. Should a conflict arise, the Chief Compliance Officer investigates the issue and determines a course of action to ensure enforcement of the policy. |
| Form 990, Part VI, Section B, line 15 | The compensation process is determined by the parent company. The parent company's process is as follows: the salaries of our CEO and other health executives are reviewed and recommended annually to the Board of Directors and approved in executive session by the full Board of Health First. Health First contracts annually with a highly respected national consulting firm to provide these recommendations to ensure that our executives are compensated fairly and competitively when compared with similar roles in other healthcare organizations nationally. The Compensation Committee is independent for Internal Revenue Code section 4958 for the individuals whose salary is reviewed. Minutes are kept for all Board of Directors and Compensation Committee meetings. The process is documented contemporaneously in the Board and Committee meetings. |
| Form 990, Part VI, Section C, line 19 | Quarterly and annually consolidated financials and consolidated statistical information is filed electronically on www.dacbond.com and is available to the public. In addition, any requests made to the Chief Financial Officer for the above referenced items are provided upon request in a timely manner. A copy of the conflicts of interest policy is available upon request to the compliance officer.Documents are available for the same period of disclosure as provided in section 6104(d). |
| Form 990, Part XI, line 9: | Transfer of net assets from a related tax-exempt 755,229. Change in temporarily restricted net assets 571,897. |
| FORM 990, PART XII, QUESTION 2C, AUDITED FINANCIAL STATEMENTS: | The Audit Committee of Health First reviews and approves the annual audit and compliance audit plans then makes its report to the Health First Board of Directors. The Audit Committee is responsible for the selection of the independent auditors. There was no change from prior year. |
| FORM 990, PART V, QUESTION 2A, NUMBER OF EMPLOYEES: | Employees at Health First Foundation, Inc. are included in the Form 941 filed by Health First, Inc. Ein: 59-3336894. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Health First Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 593336894 | Support Org. | FL | 501(c)(3) | Line 11c, III-FI | N/A | 0 | |
| Holmes Regional Medical Center Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 590624371 | Hospital | FL | 501(c)(3) | Line 3 | Yes (1) | Health First Inc | |
| Cape Canaveral Hospital Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 592477479 | Hospital | FL | 501(c)(3) | Line 3 | Yes (1) | Health First Inc | |
| Hospice of Health First Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 591911574 | Healthcare | FL | 501(c)(3) | Line 9 | Yes (1) | Health First Inc | |
| Viera Hospital Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 264019868 | Hospital | FL | 501(c)(3) | Line 3 | Yes (1) | Health First Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Doctors GI Partnership Ltd | ||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593758988 | Healthcare | FL | Holmes Regional Medical Center | Related | 0 | 0 |
| Doctor's Surgical Partnership Ltd | ||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593490279 | Healthcare | FL | Health First Inc | Related | 0 | 0 |
| Health First Quickcare LLC | ||||||||||
| 6450 US Highway 1 | Rockledge | FL | 32955 | 900520186 | Healthcare | FL | Holmes Regional Medical Center | Related | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Cape Health Properties Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593086711 | Real Estate | FL | Cape Canaveral Hospital Inc | C | 0 |
| Health First Medical Management Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593348252 | Health Care | FL | Health First Holding Corp | C | 0 |
| Health First Physicians Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593346397 | Health Care | FL | Health First Holding Corp | C | 0 |
| Holmes Regional Enterprises Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 592109953 | Real Estate | FL | Health First Holding Corp | C | 0 |
| Health First Health Plans Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593315064 | Health Care | FL | Health First Holding Corp | C | 0 |
| Health First Insurance Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 453131932 | Health Care | FL | Health First Holding Corp | C | 0 |
| Health First Holding Company & Subs | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593509709 | Holding Corp. | FL | Health First Inc | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| Cape Canaveral Hospital Inc | |
| B | $297,903 |
| Holmes Regional Medical Center Inc | |
| B | $551,051 |
| Holmes Regional Medical Center Inc | |
| K | $69,738 |
| Hospice of Health First Inc | |
| B | $147,036 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990 Schedule R, Part V, Schedule R Disclosures: | FormAndLineReferenceDesc |
| Explanation | All transactions reported in this section are based upon corporate books and records which are kept according to generally accepted accounting standards. | ExplanationTxt |